QUESTIONNAIRE : 
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1.  Name (include email address in brackets) :  

2.  If you want to be paired with specific people, please mention their names (and email): 

3.  Sex (M/F)  :       

4.  Department at U-M :  

5.  Program (undergrad/MS/PhD) :    

6.  Vegetarian/Nonvegetarian (specify if eggs are okay) : 

7.  How many people would you like in one apartment (2/3): 

8.  Do you mind if your room-mate cooks non-vegetarian food :  

9.  Do you mind if your room-mate holds occasional parties in your apt.: 

10.  Do you smoke (Y/N) : 

11. Do you mind if your room-mate smokes (Y/N) :  

12. Do you consume alcohol (Y/N) :      

13. Do you mind if your room-mate consumes alcohol (Y/N) :       

14. What would be your approximate date of arrival: 

15. Do you mind being paired up with students of a senior batch (Y/N): 

16. Marital Status (single/married):

17. Is your spouse/partner/dependent expected to join you during the 
    1st year of your stay in the  US :

18. Do you prefer to stay at Willowtree(North Campus) or University Towers 
    (Central Campus)? (WT/UT/either with one of the two preferred): 

19. Any general comments/preferences/concerns: